NPIMap

Organization Active NPI

Charlton MD LLC

  • Psychiatry Physician
  • Kailua, HI
National Provider Identifier
1497048441
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD11530 Issued in HI
Legal business name
CHARLTON MD LLC
Practice address
640 Ulukahiki St
Kailua, HI 96734-4454
Phone
(808) 664-1104
Fax
(866) 592-3149
NPI assigned
May 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly A Charlton, MD
Title
Psychiatrist
Phone
(808) 664-1104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD11530 HI Primary

Addresses

Primary practice location

640 Ulukahiki St
Kailua, HI 96734-4454

Mailing address

PO Box 970809
Waipahu, HI 96797-0809
Phone (808) 664-1104

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1497048441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970809",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967970809",
            "telephone_number": "808-664-1104",
            "fax_number": "866-592-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ULUKAHIKI ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344454",
            "telephone_number": "808-664-1104",
            "fax_number": "866-592-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLTON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "CHARLTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "808-664-1104",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD11530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.